Organization
CRYSTAL LAKE CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C. NIELSEN M.D. (PRESIDENT)
(231) 882-9661
Entity
Organization
Contact information
Practice address
6227 FRANKFORT HWY, BENZONIA, MI 49616-9654
(231) 882-9661
(231) 882-9616
Mailing address
6227 FRANKFORT HWY, BENZONIA, MI 49616-9654
(231) 882-9661
(231) 882-9616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
05/20/2006
Last updated
02/14/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us